Leanne Vanbrocklin, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302028756 Issued in MI

Practice address

1525 Manistee Hwy
Manistee, MI 49660-2200

Phone

(231) 398-0348

Fax

(231) 398-9602

NPI assigned

Sep 8, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Manistee, MI
  • NPI 1033306956
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1225319965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MANISTEE HWY",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602200",
            "telephone_number": "231-398-0348",
            "fax_number": "231-398-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MANISTEE HWY",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602200",
            "telephone_number": "231-398-0348",
            "fax_number": "231-398-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBROCKLIN",
        "first_name": "LEANNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transitions Women'S Wellness Center LLC
• Tru North Dermatology
• David Tuka
• Danielle Urban
• Usv Optical Inc.
• Charles Jay Vandenberg IV, D.O.
• Rachel Ann Vandenberg, DO
• Brienna Vander Weele, OTRL
• Megan Michelle Vansickle, FNP-BC
• Veach & Allen PC

• Pharmacist in Manistee, MI
• Providers in Manistee, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.